Eleven influential factors for quality of life in adults with epilepsy

(整期优先)网络出版时间:2008-04-14
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BACKGROUND:ResearchfocusedonthequalityoflifeofepilepticpatientsbeganonlyveryrecentlyinChina;inparticular,mostresearchhasfocusedonchildren,butlessonepilepticadults.OBJECTIVE:Tosurveyandanalyze11influentialfactorsforqualityoflifeinadultswithepilepsybyusingqualityoflifeepilepsy-31scale.DESIGN:Cross-sectionalstudy.SETTING:DepartmentofNeurology,FirstHospitalAffiliatedtoJinanUniversity;DepartmentofNeurology,FirstAffiliatedHospitalofWenzhouMedicalCollege.PARTICIPANTS:Atotalof107adultswithepilepsyforlongerthanoneyearwereselectedfromDepartmentofNeurology,FirstHospitalAffiliatedtoJinanUniversitybetweenMarch2004andDecember2006.TheincludedpatientsmettheClassificationandDiagnosticCriteriaofEpilepticAttackpublishedbyInternationalAnti-EpilepsyLeaguein1981,andtheyprovidedinformedconsent.METHODS:Generalstates,includingcourse,attackfrequency,marriagestatus,educationallevel,occupationaltypes,economicstatus,attacktypes,drugtypes,anddrugamount,wererecorded.ThereweresevenaspectsintheQualityofLifeEpilepsy-31scale,includingattackworry,lifesatisfaction,emotion,vigor/tiredness,druginfluence,cognitivefunction,andsocialfunction.Thescorespositivelycorrelatedwiththequalityoflife.Possibleinfluentialfactorsforqualityoflifewereanalyzedbyone-wayANOVAandmultivariateregressionanalysis.MAINOUTCOMEMEASURES:Course,attackfrequency,marriagestatus,educationallevel,occupationaltypes,economicstatus,attacktypes,drugtypes,drugamount,age,andsex.RESULTS:Atotalof107epilepticpatientswereincludedinthefinalanalysis.Influentialfactorsforqualityoflifeinepilepticadultsincludedattackfrequency,educationallevel,economicstatus,attacktypes,drugamount,age,andcourseofdisease(P<0.05).Amongthem,attackfrequencynegativelycorrelatedwithattackworry,lifesatisfaction,emotion,vigor/tiredness,cognitivefunc